John Gerard Martell, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

03000259 Issued in VT

Practice address

155 Dorset St
University Mall
South Burlington, VT 05403-6346

Phone

(802) 863-3062

Fax

(802) 863-6100

NPI assigned

Feb 2, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champlain Eye and Vision PLLCGroup PAC ID 6608264734, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Champlain Eye and Vision PLLC

  • Optometrist
  • South Burlington, VT
  • NPI 1184292997
  Medicare reassignment Care Compare group NPD
• John Martell OD

  dba john martell and associates

  • Optometrist
  • South Burlington, VT
  • NPI 1326226192
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093853160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 DORSET ST",
            "address_2": "UNIVERSITY MALL",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036346",
            "telephone_number": "802-863-3062",
            "fax_number": "802-863-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 DORSET ST",
            "address_2": "UNIVERSITY MALL",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036346",
            "telephone_number": "802-863-3062",
            "fax_number": "802-863-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELL",
        "first_name": "JOHN",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "03000259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine B Margulius, PA-C
• Jason T Marko, DC
• Richard B Marko, DC
• Stefanie Kleinfeld Marko, D.C.
• Cassandra Marshall
• Amanda Martin, MA
• Hiroko Martin
• Sierra Nicole Martin
• Martin's Foods of South Burlington, LLC (Hannaford Supermarket & Pharmacy)
• Martins Foods of South Burlington LLC (Hannaford Food and Drug)

• Optometrist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.